VISION SOURCE MICHAEL D. BLACKBURN, O.D.
NPI 1255316006
Optometrist in Birmingham, AL

Q: What is Oak Mountain Eye Care PC's NPI number?

The NPI number for Oak Mountain Eye Care PC is 1255316006. It was assigned to this organization in the NPPES registry on December 14, 2005. The provider is doing business as Vision Source Michael D. Blackburn, O.D..

Q: What is Oak Mountain Eye Care PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since December 14, 2005

4960 VALLEYDALE RD, SUITE 201, BIRMINGHAM, AL 35242(205) 980-5152(205) 980-5154 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Vision Source Michael D. Blackburn, O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION SOURCE MICHAEL D. BLACKBURN, O.D. (NPI 1255316006) is a healthcare organization registered as an optometrist in Birmingham, Alabama and active in the NPI registry since December 2005. The organization lists Michael D Blackburn, President Owner, as its authorized official.

NPPES Registry Identity

NPI1255316006

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOAK MOUNTAIN EYE CARE PC

Location Address4960 VALLEYDALE RD, SUITE 201Birmingham, AL 35242-4613

Mailing Address4960 Valleydale Rd, Suite 201Birmingham, AL 35242-4613 · (205) 980-5152 · Fax (205) 980-5154

Phone(205) 980-5152

Fax(205) 980-5154

Organization SubpartNo

Authorized OfficialMichael D BlackburnPresident Owner · (205) 980-5152

Enumeration DateDecember 14, 2005

Last NPPES UpdateFebruary 21, 2012

✔ NPI 1255316006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AL · S672TA330

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4960 VALLEYDALE RD, Birmingham, AL 35242

Open in Google Maps ↗

Other Names 1

Doing Business AsVision Source Michael D. Blackburn, O.d.

Other Identifiers 4

Other51500011AL · Blue Cross Blue Shield

OtherP00105638Railroad Medicare

Medicare NSC5420270001AL

Medicare PIN510G700085AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Source Michael D. Blackburn, O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vision Source Michael D. Blackburn, O.D., which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Blackburn, OD

Optometry

NPI 1538144399

4960 VALLEYDALE RD SUITE 201
Birmingham, AL 35242

(205) 980-5152

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oak Mountain Eye Care PC's NPI number?

The NPI number for Oak Mountain Eye Care PC is 1255316006. It was assigned to this organization in the NPPES registry on December 14, 2005. The provider is doing business as Vision Source Michael D. Blackburn, O.D..

Where is Oak Mountain Eye Care PC located?

Oak Mountain Eye Care PC is located at 4960 Valleydale Rd Suite 201, Birmingham, AL 35242. The listed phone number is (205) 980-5152.

What is Oak Mountain Eye Care PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Oak Mountain Eye Care PC enrolled in Medicare?

Yes. Oak Mountain Eye Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oak Mountain Eye Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Oak Mountain Eye Care PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oak Mountain Eye Care PC was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.